Endoscopic Management of Biliary Fasciolosis
Abstract
Abstract
Fasciola hepatica is an endemic parasite in Turkey that belongs to the flatworm family. This parasite is seen commonly among domestic animals (such as goats, sheep, and cattle) and is sporadic in human. Biliary fascioliasis is a rare condition. It has a hepatic and a biliary stage. Symptoms during the acute phase include fever, right upper quadrant pain, eosinophilia, and hepatomegaly. The parasite may remain asymptomatic for many years in chronic stage of the infection. Here we present a case of biliary fascioliasis who was admitted to the hospital with episodes of severe abdominal pain, nausea and vomiting and was accidentally diagnosed by endoscopic retrograde cholangiopancreatography.
Keywords: Biliary fascioliasis; endoscopic retrograde cholangiopancreatography
Özet
Fasciola hepatica Türkiye’ de endemik bir parazittir. Yaprak solucanlar ailesinden olan bu parazit genellikle keçi, koyun, sığır gibi evcil hayvanlarda görülür. İnsan da ise sporadiktir. Biliyer fasciola hepatica nadir bir durumdur. Hepatik ve biliyer evrelere sahiptir. Akut fasyoliyazda semptomlar ateş, sağ üst kadran ağrısı, eozinofili, ve hepatomegalidir. Enfeksiyonun kronik evresinde parazit yıllarca asemptomatik kalabilir. Bu makalede, şiddetli karın ağrısı atakları, bulantı ve kusma şikayetleri ile hastanemize başvurup, endoskopik retrograd kolanjiopankreatografi tetkiki ile tesadüfen biliyer fasyoliyaz tanısı alan bir olgu sunulmuştur.
Anahtar Sözcükler: Biliyer fasyoliyaz, Endoskopik Retrograd Kolanjiopankreotografi
Keywords
Kaynakça
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Ayrıntılar
Birincil Dil
İngilizce
Konular
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Bölüm
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Yazarlar
Yayımlanma Tarihi
28 Aralık 2011
Gönderilme Tarihi
9 Aralık 2010
Kabul Tarihi
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Yayımlandığı Sayı
Yıl 2011 Cilt: 33 Sayı: 4